DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, Alicia Diane	DOIID	761421	NAIC NPN	16279360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/19/2011	11/30/2012
Inactive	Non Resident	Agent	Life	8/19/2011	11/30/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/29/2011	11/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/29/2011	11/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/29/2011	11/30/2012
Inactive	American Continental Insurance Company	643130	Agent - Health	9/24/2012	11/30/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/12/2011	11/30/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/12/2011	11/30/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	11/30/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/29/2011	11/30/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/29/2011	11/30/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/22/2011	11/30/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	11/30/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/22/2011	11/30/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	11/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/20/2012	11/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2011	11/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	8/30/2011	11/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2012	11/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/20/2012	11/30/2012
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/6/2011	1/17/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/28/2011	11/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/4/2011	5/2/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/4/2011	5/2/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/12/2011	11/30/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/12/2011	11/30/2012